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Preface to the Second Edition | p. xi |
Acknowledgements | p. xiii |
Contributors | p. xv |
Foundations for Ethics | p. 1 |
Introduction | p. 1 |
Practical Theory | p. 5 |
Points to Ponder | p. 5 |
Words to Remember | p. 5 |
Introduction | p. 5 |
Why Study Ethics Theory? | p. 6 |
St. Thomas Aquinas (1225-1274) | p. 7 |
Immanuel Kant (1724-1804) | p. 8 |
John Stuart Mill (1806-1873) | p. 10 |
John Rawls (1921-2002) | p. 12 |
Personal Ethics Theorists | p. 14 |
Aristotle (384-322 BCE) | p. 15 |
Martin Buber (1878-1965) | p. 16 |
Lawrence Kohlberg (1927-1987) | p. 18 |
Viktor Frankl (1905-1997) | p. 21 |
What Is Ethics? | p. 22 |
Summary | p. 24 |
Web Resources | p. 24 |
References | p. 25 |
Autonomy | p. 27 |
Points to Ponder | p. 27 |
Words to Remember | p. 27 |
Introduction and Definitions | p. 27 |
Autonomy as Informed Consent | p. 28 |
Autonomy as Confidentiality | p. 31 |
Autonomy as Truth-Telling | p. 33 |
Autonomy as Fidelity | p. 35 |
Summary | p. 38 |
Cases for Your Consideration | p. 38 |
Web Resources | p. 45 |
References | p. 45 |
Nonmaleficence and Beneficence | p. 47 |
Points to Ponder | p. 47 |
Words to Remember | p. 47 |
Introduction and Definitions | p. 47 |
Nonmaleficence in Healthcare Settings | p. 48 |
Beneficence in Healthcare Settings | p. 52 |
Summary | p. 55 |
Cases for Your Consideration | p. 55 |
Web Resources | p. 64 |
References | p. 64 |
Justice | p. 65 |
Points to Ponder | p. 65 |
Words to Remember | p. 65 |
Introduction and Definitions | p. 65 |
Justice for Patients | p. 66 |
Distributive Justice | p. 67 |
Staff Justice | p. 71 |
Summary | p. 74 |
Cases for Your Consideration | p. 75 |
Web Resource | p. 79 |
References | p. 79 |
External Influences on Ethics | p. 81 |
Introduction | p. 81 |
Quis Custodiet Ispos Custodes? Who Will Guard the Guardians? | p. 85 |
Points to Ponder | p. 85 |
Words to Remember | p. 85 |
The Age of Accountability | p. 86 |
The Ethics of Advocacy | p. 93 |
The Ethics of Staff Competency | p. 95 |
Summary | p. 103 |
Cases for Your Consideration | p. 103 |
Web Resources | p. 110 |
References | p. 110 |
Market Forces and Ethics | p. 113 |
Points to Ponder | p. 113 |
Words to Remember | p. 113 |
Introduction and Definitions | p. 113 |
General Market Forces | p. 114 |
Managed Care and Ethics | p. 116 |
Integrated Medicine (IM) and Ethics | p. 125 |
Summary | p. 129 |
Cases for Your Consideration | p. 129 |
Web Resources | p. 134 |
References | p. 135 |
Social Responsibility and Ethics | p. 137 |
Points to Ponder | p. 137 |
Words to Remember | p. 137 |
What Is Social Responsibility in the Healthcare Business? | p. 138 |
Prevention as Social Responsibility | p. 140 |
Quality Assurance as Social Responsibility | p. 145 |
Summary | p. 147 |
Cases for Your Consideration | p. 147 |
Web Resources | p. 154 |
References | p. 154 |
Technology and Ethics | p. 155 |
Points to Ponder | p. 155 |
Words to Remember | p. 155 |
Technology and Its Impact on Health Care | p. 156 |
Emergent Technologies and Future Issues | p. 161 |
Technology and Ethics | p. 164 |
Technology and the Role of the Healthcare Administrator | p. 167 |
Summary | p. 167 |
Cases for Your Consideration | p. 168 |
Web Resources | p. 174 |
References | p. 175 |
Organizational Influences on Ethics | p. 177 |
Introduction | p. 177 |
No Mission No Margin: Fiscal Responsibility | p. 179 |
Points to Ponder | p. 179 |
Words to Remember | p. 179 |
Show Me the Money | p. 180 |
Margin versus Mission: A Delicate Balance | p. 182 |
Summary | p. 190 |
Cases for Your Consideration | p. 191 |
Web Resources | p. 197 |
References | p. 197 |
Organization Culture and Ethics | p. 199 |
Points to Ponder | p. 199 |
Words to Remember | p. 199 |
Culture: A Macro and Micro View | p. 200 |
The Healthcare Culture Responds: Ethics Committees | p. 204 |
Assisting the Process: Choosing a Decision-Making Model | p. 207 |
Summary | p. 209 |
Cases for Your Consideration | p. 210 |
Web Resources | p. 218 |
References | p. 218 |
The Ethics of Quality | p. 221 |
Points to Ponder | p. 221 |
Words to Remember | p. 221 |
Introduction to the Ethics of Quality | p. 221 |
A Historical View | p. 222 |
Through the Organization's Eyes | p. 224 |
Going Beyond Compliance: Efforts in Quality | p. 225 |
Ethics of Quality Programs | p. 230 |
Summary | p. 232 |
Cases for Your Consideration | p. 232 |
Web Resources | p. 239 |
References | p. 239 |
Patient Issues and Ethics | p. 241 |
Points to Ponder | p. 241 |
Words to Remember | p. 241 |
Paternalism, or "We Know What's Best" | p. 241 |
The Patient Healthcare Experience | p. 244 |
Measuring the Patient Experience | p. 247 |
How Does Measurement Relate to Ethics? | p. 249 |
Providing Care Through a Different Vision: Patient-Centered Care and Ethics | p. 250 |
Summary | p. 255 |
Cases for Your Consideration | p. 256 |
Web Resource | p. 265 |
References | p. 265 |
The Inner Circle of Ethics | p. 267 |
Introduction | p. 267 |
Moral Integrity | p. 269 |
Points to Ponder | p. 269 |
Words to Remember | p. 269 |
Definitions of Morality | p. 269 |
What Do the Experts Say About Morality? | p. 271 |
Maintaining Your Moral Integrity | p. 278 |
Summary | p. 280 |
Ten Challenges for Maintaining Moral Integrity | p. 280 |
Web Resources | p. 291 |
References | p. 291 |
Codes of Ethics and Administrative Practice | p. 293 |
Points to Ponder | p. 293 |
Words to Remember | p. 293 |
Introduction to Codes of Ethics for Professionals | p. 293 |
Why Bother with Codes of Ethics? | p. 294 |
Code of Ethics for the American College of Healthcare Executives | p. 297 |
Learning from Other Codes | p. 299 |
Limitations and Criticisms of Codes | p. 306 |
Summary | p. 307 |
Five Challenges for Living in Code | p. 308 |
Web Resources | p. 310 |
References | p. 310 |
Practicing as an Ethical Administrator | p. 311 |
Points to Ponder | p. 311 |
Words to Remember | p. 311 |
Introduction | p. 311 |
Key Processes of Healthcare Administration and Ethics | p. 312 |
Wisdom from the Masters: Ethics in Practice | p. 321 |
Voices from the Healthcare Field | p. 325 |
Summary | p. 328 |
Challenges | p. 328 |
Web Resources | p. 330 |
References | p. 330 |
Where Do We Go From Here? | p. 331 |
Points to Ponder | p. 331 |
Words to Remember | p. 331 |
Summary of Previous Chapters | p. 331 |
The Future, or Who Hid the Crystal Ball? | p. 334 |
Final Summary | p. 339 |
Web Resources | p. 339 |
References | p. 339 |
References | p. 341 |
Index | p. 349 |
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